The nurse is caring for a Chinese patient diagnosed with cancer who is suffering from pain, yet refuses analgesia administration. What type of health disparities is this patient exhibiting?
a. Avoidable and acceptable
b. Avoidable and unacceptable
c. Unavoidable and acceptable
d. Unavoidable and unacceptable
ANS: B
Health disparities that are avoidable and unacceptable unfortunately occur in healthcare settings and these are the targets of interventions. For example, a disparity in cancer pain management exists between Asians and Whites. This difference is attributable to Asian cultural values and attitudes related to cancer pain and pain medication distinguished from the cultural values of Whites. The disparity is avoidable if Asian cancer patients are adequately educated and instructed on cancer pain management strategies including pain medication and complementary and alternative medicine. Also, this disparity is unacceptable because this gives an unnecessary burden of pain to Asian cancer patients that could be easily managed by using existing strategies.
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A nurse is educating the parents of a 5-year-old with bacterial otitis media. Which discharge instruction is most important?
A. "Bring her back if she is not better in 1 week." B. "Do not allow your child to swim in the future." C. "Give the full course of antibiotics even if she is better." D. "Ice packs are a good way to manage her ear pain."
In what significant way should the therapeutic environment differ for a client who has ingested LSD
from that of a client who has ingested PCP? a. For LSD ingestion, have one person stay with the client and provide verbal support. For PCP ingestion, maintain a regimen of limited contact with one staff member accompanied by two or more staff. b. For PCP ingestion, place client on one-on-one intensive supervision. For LSD ingestion, maintain a regimen of limited interaction and minimal verbal stimulation. c. For LSD ingestion, provide continual midlevel stimulation involving as many senses as possible. For PCP ingestion, provide continual high-level stimulation. d. For LSD ingestion, place the client in restraints. For PCP ingestion, place the client on seizure precautions.
A patient with Addison's disease is taking daily doses of corticosteroids to control the symptoms of this disease. The nurse explains that corticosteroids should be:
a. taken every day. b. taken on an empty stomach. c. stopped if gastrointestinal symptoms ap-pear. d. doubled in the event of stress.
The nurse notes that the client often sighs and says in a monotone voice, "I'm never going to get over this." When encouraged to participate in care, the client says, "I don't have the energy." The nurse believes these cues are suggestive of which nursing diagnoses? Select all that apply.
A. Hopelessness B. Powerlessness C. Interrupted sleep pattern D. Disturbed self esteem E. Self care deficit